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ST. PAUL, Minn. (WCCO) – The Minnesota Department of Health reports a number of new case of measles in the state, bringing the number found since February to nine total.

The MDH says measles cases have been found in children ranging in age between 4 months old and 4 years old.

The health department reported that it is believed the outbreak started with an infant who went to Kenya and came back to Minnesota early February.

According to the health department, four of the cases involved children too young to receive a vaccination for measles. Four were old enough but didn’t receive the vaccination. It’s not known whether the ninth child was inoculated.

Five have been hospitalized, none have died.

Before this outbreak, there had only been 19 cases in the state since 1997.